A case of sigmoid colon adenocarcinoma diagnosed as facial cutaneous metastasis for survival after operation for 37?months
A case of sigmoid colon adenocarcinoma diagnosed as facial cutaneous metastasis for survival after operation for 37?months
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乙状结肠腺癌面部皮肤转移一例术后生存37个月
DOI：
10.1007/s12328-017-0767-7
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发表时间：
2017
影响因子：
1
通讯作者：
Uchida Eiji
中科院分区：
文献类型：
--
作者：
Ueda Junji;Yoshida Hiroshi;Makino Hiroshi;Maruyama Hiroshi;Yokoyama Tadashi;Hirakata Atsushi;Takata Hideyuki;Seki Natsuki;Kikuchi Yuta;Uchida Eiji
内脏恶性肿瘤的皮肤转移并不常见，估计0.7-9%的内脏肿瘤患者会发生皮肤转移，包括尸检病例。我们想报告一个乙状结肠腺癌长期存活的病例，诊断为面部皮肤转移。1例68岁男性因左侧脸颊肿块入院治疗。在他过去的病史中，急性心肌梗死发生在两年前。他还患有慢性肾功能衰竭和慢性阻塞性肺病。面部病变活检标本的组织学结果为中分化腺癌。结肠镜检查发现乙状结肠内有一个直径为20 mm×30 mm的肿瘤。该肿瘤活检标本的组织学结果也提示为中分化腺癌。患者被诊断为乙状结肠癌，并伴有面部皮肤转移。我们施行乙状结肠切除加淋巴清扫，并切除面部皮肤转移瘤。出院后，考虑到患者的肾功能，进行了小剂量化疗。虽然提供了对他的一般情况的长期管理，但患者在手术37个月后死于慢性心力衰竭。
Cutaneous metastasis of an internal malignancy is uncommon and is estimated to occur in 0.7–9% of patients with internal cancer including autopsy cases. We would like to report a case of long survival of sigmoid colon adenocarcinoma diagnosed as an instance of facial cutaneous metastasis. A 68-year-old male was admitted to our hospital for a tumor mass on the left side of his cheek. In his past history, acute myocardial infarction had occurred 2 years earlier. He also had chronic renal failure and chronic obstructive pulmonary disease. Histologic findings from the biopsy sample of this facial lesion were moderately differentiated adenocarcinoma. Colonoscopy revealed a tumor 20 mm × 30 mm in diameter in the sigmoid colon. Histologic findings of the biopsy sample of this tumor also indicated moderately differentiated adenocarcinoma. The patient was diagnosed with sigmoid colon cancer with cutaneous metastasis to the face. We performed a sigmoidectomy with lymph node dissection and resection of the facial cutaneous metastasis. After being discharged, low dose chemotherapy was performed in consideration of the patient's renal function. Although long-term management of his general condition was provided, the patient died 37 months after surgery because of chronic heart failure.